| Natasha Nicolle Peterson, | |
|
Stat Md, 1784 Uinta Way E, Park City, UT 84098 | |
| (435) 604-0160 | |
| Not Available |
| Full Name | Natasha Nicolle Peterson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | Stat Md, 1784 Uinta Way E, Park City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972069532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 8454365-4405 (Utah) | Primary |
| Entity Name | University Of Utah Community Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
| Mailing Address | Practice Location Address |
|---|---|
| Natasha Nicolle Peterson, 3741 S Canley Vale Ct, Salt Lake City, UT 84115-3131 Ph: (801) 699-6656 | Natasha Nicolle Peterson, Stat Md, 1784 Uinta Way E, Park City, UT 84098 Ph: (435) 604-0160 |
Matthew Weston Pommerville, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Snow Creek Dr, Park City, UT 84060 Phone: 435-655-0055 Fax: 435-655-8979 | |
Marilyn Jean Klein, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Bonanza Dr, Park City, UT 84060 Phone: 435-649-5989 Fax: 435-649-5991 | |
Heather Ann Darling, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Round Valley Dr, 250, Park City, UT 84060 Phone: 435-333-3535 Fax: 435-333-3536 | |
Beth Silvero, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Round Valley Dr, Park City, UT 84060 Phone: 435-333-1850 | |
Brandilyn Rolfe, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2629 Cottage Ct, Park City, UT 84098 Phone: 404-201-0666 | |
Kelsey Rose Janusch, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 | |
Mrs. Erin Hanson Doppelheuer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Hollyhock St, Park City, UT 84098 Phone: 703-966-4255 |